Thomas J Simmons III

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

S552830781650 Issued in FL

Practice address

1308 Brickyard Rd
Chipley, FL 32428-2437

Phone

(850) 703-7928

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1831808500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FRONT BEACH RD # 2018",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074817",
            "telephone_number": "850-703-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 BRICKYARD RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324282437",
            "telephone_number": "850-703-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "S552830781650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yachira Marie Segarra, LPN
• Susie Weaver Sewell, RN, MSN
• Callief Shereen Shand, D.D.S.
• Teresa Z Shannon, LMHC
• SHC Home Health Services-Chipley, LLC
• Murphy Llie Megan Sims
• Greg Keith Sloan, M.D.
• Gary Dwayne Smelcer
• Jaleesa Smith
• Southern Family Healthcare, P.a.

• Non-emergency Medical Transport (VAN) in Chipley, FL
• Providers in Chipley, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.